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General NPI Number Information
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NPI Number | 1518935063
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Entity Type | Individual
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Provider Name | MARIA T DE VERA D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 72 WASHINGTON ST SUITE 2100
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City | TAUNTON
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State | MA
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Zip | 02780-2491
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Country | US
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Telephone | 508-823-2762
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Fax | 508-828-6886
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Provider Business Mailing Address
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Address Line | PO BOX 847348
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City | BOSTON
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State | MA
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Zip | 02284-7348
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Country | US
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Telephone | 508-823-2762
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Fax | 508-828-6886
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 219962
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License Number State | MA
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